Medicare of South Carolina Reimbursement Rates

Accepting Medicare of South Carolina shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Medicare of South Carolina Reimbursement Rates for Physical Therapy Practices in South Carolina

Physical Therapy Practice Benchmarks in South Carolina

Average Reimbursement Per Visit

While negotiated reimbursement rates between Medicare of South Carolina and a healthcare provider are confidential, we can give you a general sense for Medicare of South Carolina's reimbursement rates by looking at the aggregate data across StrataPT's customers.
$110.56
Latest
$102.50
Expected
$110.56
High
$2,278.35
Mean
$158.89
Low
$96.06
Median
$101.97

Recent Visit CPT Code Combinations

Data refreshed 1 day ago
Codes and Units Units Total Reimbursement Average Per Unit
97112 x 2 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $23.48 average per unit
Reimbursement
$93.94 total reimbursement
4$93.94$23.48
97110 x 2 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $21.97 average per unit
Reimbursement
$87.89 total reimbursement
4$87.89$21.97
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $23.37 average per unit
Reimbursement
$70.11 total reimbursement
3$70.11$23.37
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $26.05 average per unit
Reimbursement
$104.21 total reimbursement
4$104.21$26.05
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $22.17 average per unit
Reimbursement
$88.66 total reimbursement
4$88.66$22.17
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $25.16 average per unit
Reimbursement
$100.65 total reimbursement
4$100.65$25.16
92507 x 1 (No Assistant)
Units
1 units @ $72.10 average per unit
Reimbursement
$72.10 total reimbursement
1$72.10$72.10
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $26.62 average per unit
Reimbursement
$79.85 total reimbursement
3$79.85$26.62
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $21.90 average per unit
Reimbursement
$87.61 total reimbursement
4$87.61$21.90
97110 x 3 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $24.38 average per unit
Reimbursement
$97.52 total reimbursement
4$97.52$24.38
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $22.85 average per unit
Reimbursement
$91.40 total reimbursement
4$91.40$22.85
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $22.88 average per unit
Reimbursement
$91.50 total reimbursement
4$91.50$22.88
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
5 units @ $25.61 average per unit
Reimbursement
$128.04 total reimbursement
5$128.04$25.61
97110 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $20.73 average per unit
Reimbursement
$82.94 total reimbursement
4$82.94$20.73
97110 x 2 (No Assistant), 97112 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
5 units @ $24.99 average per unit
Reimbursement
$124.93 total reimbursement
5$124.93$24.99
97112 x 1 (Assistant), 97530 x 3 (Assistant)
Units
4 units @ $23.56 average per unit
Reimbursement
$94.25 total reimbursement
4$94.25$23.56
97110 x 3 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $22.51 average per unit
Reimbursement
$90.03 total reimbursement
4$90.03$22.51
97112 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $26.63 average per unit
Reimbursement
$106.52 total reimbursement
4$106.52$26.63
97110 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $24.53 average per unit
Reimbursement
$98.13 total reimbursement
4$98.13$24.53
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $25.58 average per unit
Reimbursement
$76.75 total reimbursement
3$76.75$25.58
97110 x 1 (Assistant), 97530 x 2 (Assistant)
Units
3 units @ $23.04 average per unit
Reimbursement
$69.11 total reimbursement
3$69.11$23.04
97110 x 3 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
5 units @ $24.42 average per unit
Reimbursement
$122.09 total reimbursement
5$122.09$24.42
97110 x 1 (No Assistant), 97530 x 3 (No Assistant)
Units
4 units @ $25.83 average per unit
Reimbursement
$103.33 total reimbursement
4$103.33$25.83
97110 x 4 (No Assistant)
Units
4 units @ $22.76 average per unit
Reimbursement
$91.05 total reimbursement
4$91.05$22.76
97110 x 1 (Assistant), 97530 x 3 (Assistant)
Units
4 units @ $21.89 average per unit
Reimbursement
$87.55 total reimbursement
4$87.55$21.89
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), 97535 x 1 (Assistant)
Units
4 units @ $22.52 average per unit
Reimbursement
$90.08 total reimbursement
4$90.08$22.52
97112 x 1 (Assistant), 97530 x 2 (Assistant)
Units
3 units @ $24.25 average per unit
Reimbursement
$72.76 total reimbursement
3$72.76$24.25
97112 x 2 (Assistant), 97530 x 2 (Assistant), 97535 x 1 (Assistant)
Units
5 units @ $22.81 average per unit
Reimbursement
$114.05 total reimbursement
5$114.05$22.81
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant)
Units
4 units @ $20.48 average per unit
Reimbursement
$81.90 total reimbursement
4$81.90$20.48
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $24.30 average per unit
Reimbursement
$72.90 total reimbursement
3$72.90$24.30
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
4 units @ $25.52 average per unit
Reimbursement
$102.07 total reimbursement
4$102.07$25.52
97110 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $25.56 average per unit
Reimbursement
$76.68 total reimbursement
3$76.68$25.56
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $23.22 average per unit
Reimbursement
$92.87 total reimbursement
4$92.87$23.22
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $22.55 average per unit
Reimbursement
$112.73 total reimbursement
5$112.73$22.55
97110 x 3 (No Assistant), 97112 x 1 (No Assistant)
Units
4 units @ $23.86 average per unit
Reimbursement
$95.45 total reimbursement
4$95.45$23.86
97140 x 1 (No Assistant), 97530 x 3 (No Assistant)
Units
4 units @ $25.36 average per unit
Reimbursement
$101.42 total reimbursement
4$101.42$25.36
97110 x 2 (No Assistant), 97112 x 2 (No Assistant)
Units
4 units @ $24.57 average per unit
Reimbursement
$98.28 total reimbursement
4$98.28$24.57
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97161 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
4 units @ $40.62 average per unit
Reimbursement
$162.46 total reimbursement
4$162.46$40.62
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), 97750 x 1 (Assistant)
Units
4 units @ $22.64 average per unit
Reimbursement
$90.56 total reimbursement
4$90.56$22.64
97110 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $22.22 average per unit
Reimbursement
$66.67 total reimbursement
3$66.67$22.22
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $24.99 average per unit
Reimbursement
$99.94 total reimbursement
4$99.94$24.99
97110 x 2 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $22.32 average per unit
Reimbursement
$66.96 total reimbursement
3$66.96$22.32
97112 x 2 (Assistant), 97530 x 2 (Assistant), 97750 x 1 (Assistant)
Units
5 units @ $22.92 average per unit
Reimbursement
$114.58 total reimbursement
5$114.58$22.92
97112 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
3 units @ $27.19 average per unit
Reimbursement
$81.56 total reimbursement
3$81.56$27.19
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $25.90 average per unit
Reimbursement
$103.60 total reimbursement
4$103.60$25.90
97530 x 3 (No Assistant)
Units
3 units @ $27.64 average per unit
Reimbursement
$82.92 total reimbursement
3$82.92$27.64
97110 x 1 (No Assistant), 97530 x 4 (No Assistant)
Units
5 units @ $25.60 average per unit
Reimbursement
$127.99 total reimbursement
5$127.99$25.60
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 3 (Assistant)
Units
5 units @ $22.60 average per unit
Reimbursement
$112.99 total reimbursement
5$112.99$22.60
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant), 97535 x 1 (Assistant)
Units
5 units @ $22.31 average per unit
Reimbursement
$111.56 total reimbursement
5$111.56$22.31
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant)
Units
3 units @ $21.06 average per unit
Reimbursement
$63.19 total reimbursement
3$63.19$21.06
97110 x 2 (Assistant), 97112 x 2 (Assistant)
Units
4 units @ $21.71 average per unit
Reimbursement
$86.83 total reimbursement
4$86.83$21.71
97110 x 2 (No Assistant), 97530 x 3 (No Assistant)
Units
5 units @ $24.96 average per unit
Reimbursement
$124.80 total reimbursement
5$124.80$24.96
97110 x 2 (No Assistant), 97112 x 1 (No Assistant)
Units
3 units @ $24.72 average per unit
Reimbursement
$74.17 total reimbursement
3$74.17$24.72
97110 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
2 units @ $27.68 average per unit
Reimbursement
$55.36 total reimbursement
2$55.36$27.68
97110 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $21.61 average per unit
Reimbursement
$86.46 total reimbursement
4$86.46$21.61
97530 x 4 (No Assistant)
Units
4 units @ $26.65 average per unit
Reimbursement
$106.61 total reimbursement
4$106.61$26.65
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $22.19 average per unit
Reimbursement
$88.76 total reimbursement
4$88.76$22.19
97110 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
3 units @ $26.32 average per unit
Reimbursement
$78.97 total reimbursement
3$78.97$26.32
97110 x 3 (No Assistant), 97112 x 2 (No Assistant)
Units
5 units @ $23.91 average per unit
Reimbursement
$119.56 total reimbursement
5$119.56$23.91
97112 x 1 (Assistant), 97530 x 2 (Assistant), 97535 x 1 (Assistant)
Units
4 units @ $23.21 average per unit
Reimbursement
$92.82 total reimbursement
4$92.82$23.21
97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $22.88 average per unit
Reimbursement
$91.50 total reimbursement
4$91.50$22.88
97112 x 1 (No Assistant), 97530 x 3 (No Assistant)
Units
4 units @ $26.56 average per unit
Reimbursement
$106.23 total reimbursement
4$106.23$26.56
97112 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $22.30 average per unit
Reimbursement
$111.50 total reimbursement
5$111.50$22.30
97110 x 2 (No Assistant), 97162 x 1 (No Assistant)
Units
3 units @ $44.77 average per unit
Reimbursement
$134.32 total reimbursement
3$134.32$44.77
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant), 97750 x 1 (Assistant)
Units
5 units @ $22.42 average per unit
Reimbursement
$112.09 total reimbursement
5$112.09$22.42
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
4 units @ $24.45 average per unit
Reimbursement
$97.82 total reimbursement
4$97.82$24.45
97112 x 2 (Assistant), 97530 x 3 (Assistant)
Units
5 units @ $23.10 average per unit
Reimbursement
$115.48 total reimbursement
5$115.48$23.10
97110 x 2 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $22.71 average per unit
Reimbursement
$68.12 total reimbursement
3$68.12$22.71
97112 x 1 (Assistant), 97530 x 2 (Assistant), 97750 x 1 (Assistant)
Units
4 units @ $23.34 average per unit
Reimbursement
$93.35 total reimbursement
4$93.35$23.34
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $25.29 average per unit
Reimbursement
$101.16 total reimbursement
4$101.16$25.29
97110 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $24.97 average per unit
Reimbursement
$99.88 total reimbursement
4$99.88$24.97

Top Healthcare Payers in South Carolina

BCBS of South Carolina

$112.53

paid in 14 days
View 30 recent CPT Code Combinations

Medicare of South Carolina

$110.56

paid in 14 days
View 71 recent CPT Code Combinations

United Health Care

$109.99

paid in 59 days
View 26 recent CPT Code Combinations

Aetna

$105.11

paid in 5 days
View 23 recent CPT Code Combinations

Select Health of South Carolina

$101.76

paid in 51 days
View 2 recent CPT Code Combinations

Cigna - RPN

$98.32

paid in 72 days
View 2 recent CPT Code Combinations

MedRisk

$86.00

paid in 45 days
View 3 recent CPT Code Combinations

Tricare East

$85.14

paid in 5 days
View 25 recent CPT Code Combinations

Humana

$76.95

paid in 11 days
View 16 recent CPT Code Combinations

Align Networks (One Call PT)

$73.13

paid in 62 days
View 1 recent CPT Code Combinations

CPT copyright 2023 American Medical Association.

All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

Related:

Frequently Asked Questions

Book a Demo

Our team will walk you through our EMR and RCM products plus show you how we can increase your reimbursement to 99.99%!

Book a Demo ROI Calculator

See how Strata can grow your practice

300
$100.00
70%

This is the total amount you currently spend for EMR, scheduling or other software used to run your practice on a daily basis.

This is the total amount you currently spend for billing services. Typically this is the total monthly expense of your billing team (including salaries, benefits, clearinghouse fees, USPS postage and more) or the monthly fees paid to your billing service.

+$11,400.00 additional cash each month for your practice

Book a Demo ROI Calculator